Journal of Research in Orthopedic Science最新文献

Assessment Methods of Knee Joint Arthrokinematics: A Review of Literature 膝关节关节运动学评估方法:文献综述

Journal of Research in Orthopedic Science Pub Date : 2021-08-01 DOI: 10.32598/jrosj.8.3.783.1

A. Norasteh, H. Zarei

{"title":"Assessment Methods of Knee Joint Arthrokinematics: A Review of Literature","authors":"A. Norasteh, H. Zarei","doi":"10.32598/jrosj.8.3.783.1","DOIUrl":"https://doi.org/10.32598/jrosj.8.3.783.1","url":null,"abstract":"Context: The present study provides an analysis of methods in assessment and measurement of knee arthrokinematic movements. Evidence Acquisition: in this study, an exhaustive review of the methods for assessment of knee joint arthrokinematics is provided. For this, some known databases including Science Direct, PubMed, EMBASE, CINAHL, and Google Scholar, for the period 1985 to February 2020 are explored. Results: After the assessment steps, 14 articles were chosen based on the criteria and objectives of the research; 13 articles in entirety and one as a summary. Through a review of the studies, it was observed that various methods were used in assessment and measurement of the knee joint arthrokinematic movements. In the beginning, focus was on transitional motion in which knee arthrokinematic movements were studied in static state; but with time, knee transitional movement was studied in dynamic state as well. More recent studies scrutinized three main types of arthrokinematics: motion rolling, gliding and spinning. There were also studies that tried to implement tools which required minimum cost and scrutinized the knee arthrokinematic movements without complicated state-of-the-art equipment. All the said equipment were designed with the aim of diagnosis of how the arthrokinematic movements of an injured knee compared to a healthy one. Conclusion: Results of our analysis show that the literature is rich with a variety of instruments for measuring knee arthrokinematic movements. By classifying the instruments, it was found that studies of four different measurement methods including static, dynamic, functional and qualitative have examined the arthrokinematic movements of the knee.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128723126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Corrective Osteotomy With K-Wire Fixation For the Treatment of Symptomatic Distal Radius Extra-Articular Malunion 矫形截骨加k针固定治疗症状性桡骨远端关节外畸形愈合

Journal of Research in Orthopedic Science Pub Date : 2021-08-01 DOI: 10.32598/jrosj.8.3.723.3

H. Shariatzade, Farid Najd Mazhar, Mohsen Barkam, A. Dehghan, Mohammadreza Heidarikhoo, Abbas Esmaeli, Mazyar Rajei

{"title":"Corrective Osteotomy With K-Wire Fixation For the Treatment of Symptomatic Distal Radius Extra-Articular Malunion","authors":"H. Shariatzade, Farid Najd Mazhar, Mohsen Barkam, A. Dehghan, Mohammadreza Heidarikhoo, Abbas Esmaeli, Mazyar Rajei","doi":"10.32598/jrosj.8.3.723.3","DOIUrl":"https://doi.org/10.32598/jrosj.8.3.723.3","url":null,"abstract":"Background: Optimization of the corrective osteotomy for the treatment of distal radius extra-articular ‎ ‎malunion is an ‎ongoing project‎‏. Objectives: In this study, ‏we aimed to evaluate the outcome of corrective osteotomy ‎with K-wire fixation in the treatment of patients with symptomatic distal radius extra-articular malunion.‎ Patients & Methods: Twenty-three patients with symptomatic distal radius extra-articular malunion, mean ‎age of ‎38.3±7.6‎‏ years‎, ‎and a mean follow‎-‎up of ‏‎34.4±11.3 months‎‏ were included‎. ‎Corrective osteotomy ‏was performed through a dorsal approach and using K‎-‎wire instead of the plate for the fixation ‏of the osteotomy site‎. ‎The outcome was assessed with radiographic measures including ‏ulnar ‎variance, radial tilt, radial inclination angle, radial height, and clinical measures including ‎wrist range of motion, the short form of Disabilities of the Arm, Shoulder, and ‎Hand (Quick-‎DASH), and the Modified Mayo Wrist Score (MMWS).‎ Results: Radiographic measures and wrist range of motion in all directions were significantly improved at the last follow-up. The mean final Quick-DASH score of the patients was 16.3±8. The mean final MMWS was 92.2±13.5. According to the MMWS, 9 (39.1%) patients had an excellent function, 13 (56.5%) patients had a good function, and one (4.4%) patient had a fair function. Radiographic union was observed in all wrists within an average period of 10.2±4 weeks. No postoperative complication was recorded. Conclusion: Since K-wire fixation is less expensive, requires smaller incision, and provides acceptable radiologic and clinical outcomes, it could be regarded as a good alternative for plate fixation in corrective osteotomy for distal radius extra-articular malunion.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123857969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of Carpal Malalignment Before and After Interpositional Bone Grafting for Treating Scaphoid Nonunion 植骨治疗舟状骨不连前后腕不正的疗效评价

Journal of Research in Orthopedic Science Pub Date : 2021-08-01 DOI: 10.32598/jrosj.8.3.785.1

Hooman Shariatzadeh, F. Soltani, Mohsen Barkam, Ali Dehghan Marvast

{"title":"Evaluation of Carpal Malalignment Before and After Interpositional Bone Grafting for Treating Scaphoid Nonunion","authors":"Hooman Shariatzadeh, F. Soltani, Mohsen Barkam, Ali Dehghan Marvast","doi":"10.32598/jrosj.8.3.785.1","DOIUrl":"https://doi.org/10.32598/jrosj.8.3.785.1","url":null,"abstract":"Background: Carpal malalignment following the treatment of scaphoid nonunion increases the risk of Dorsal Intercalated Segment Instability (DISI) and progressive radiocarpal arthrosis. Objectives: In this study, we aimed to investigate the outcome of interpositional bone grafting without preplanning to correct carpal malalignment in treating scaphoid nonunion. Methods: Patients and Methods: In a retrospective study, 96 patients who underwent surgery to treat scaphoid nonunion (interpositional bone grafting without correction of carpal malalignment) were included. Indices of carpal malalignment, including the lunocapitate and scapholunate angles, were assessed before and one year after the surgery. A lunocapitate angle of more than15º and a scapholunate angle of more than 60º were considered a sign of DISI. Results: The study population included 93 men (96.9%) and three women (3.1%) with a Mean±SD age of 26.1±3.1 years. The mean±SD time from fracture to nonunion surgery was 8.6±4.2 months. The Mean±SD lunocapitate angle was 15.2±13.1º before and 14.4±11º one year after the surgery (P=0.48). The Mean±SD scapholunate angle was 63.9±15.2º before and 64.5±14.6º after the surgery (P=0.69). DISI was present in 67 patients (69.8%) before and 66 (68.8%) after the surgery. This difference was not statistically significant, too (P=0.89). Conclusion: Correction of carpal malalignment should be preoperatively planned to treat scaphoid nonunion to reduce the risk of postoperative DISI and subsequent radiocarpal arthrosis.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133272279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long Low-profile Proximal Tibial Locking Plate for the Fixation of Periprosthetic Femoral Fractures Above the Prosthesis: A Pilot Study 长低轮廓胫骨近端锁定钢板固定假体上方股骨假体周围骨折:一项初步研究

Journal of Research in Orthopedic Science Pub Date : 2021-08-01 DOI: 10.32598/jrosj.8.3.771.1

M. Jabalameli, A. Karimi, Rahmatalah Jokar, M. Mohammadpour, H. Yahyazadeh, Sina Talebi

{"title":"Long Low-profile Proximal Tibial Locking Plate for the Fixation of Periprosthetic Femoral Fractures Above the Prosthesis: A Pilot Study","authors":"M. Jabalameli, A. Karimi, Rahmatalah Jokar, M. Mohammadpour, H. Yahyazadeh, Sina Talebi","doi":"10.32598/jrosj.8.3.771.1","DOIUrl":"https://doi.org/10.32598/jrosj.8.3.771.1","url":null,"abstract":"Background: Anatomic distal femoral plates locking compression plate (LCP) are generally used for the fixation of distal femoral fractures. However, they are not suitable for periprosthetic femoral fracture after total knee arthroplasty (TKA), mainly owing to the impingement with prosthesis. Objectives: In this case series, we report the outcome of proximal tibial LCP fixation in the treatment of periprosthetic femoral fracture after TKA. Patients and Methods: Twelve patients with a periprosthetic femoral fracture who underwent surgical treatment were included. According to Su et al. classification, all fractures were type II, originating from the femoral component with proximal extending. Fractures were managed with open reduction and plate fixation. The plate choice was either a long low-profile proximal tibial LCP (n=9) or a short anatomic distal femoral LCP (n=3). Results: The study population included one male and 11 females with a mean age of 74.5±9.3 years and a mean follow-up of 2.8±1.3 years. Union of fracture was observed in all fractures that were fixed with a long locking plate during a mean period of 3.1±2.1 months. Fixation failed in all three patients who were managed with a short plate. These patients underwent revision surgery with a long low-profile proximal tibial LCP. In one of them, the fixation failed again and finally fixed with tumor prosthesis. The other two fractures were united with no complications. Conclusion: Long low-profile proximal tibial LCP omits the problem of impingement by prosthesis, which is caused by short anatomic distal femoral LCP in the treatment of periprosthetic femoral fractures above the prosthesis. However, future large-scale comparative studies are required before we can recommend it for routine implications in these fractures.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116822513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Scapholunate Instability Following the Surgical Excision of Dorsal Ganglion Cyst of the Wrist: A Case Report 腕背神经节囊肿手术切除后舟月骨不稳1例

Journal of Research in Orthopedic Science Pub Date : 2021-05-01 DOI: 10.32598/jrosj.8.2.723.2

H. Shariatzade, Mohsen Barkam, A. Saied, Alireza Akbarzadeh Arab

引用次数: 2

Knee Muscle Activity During Jump Landing Tasks Following Anterior Cruciate Ligament Reconstruction: A Review Study 前交叉韧带重建后跳跃着陆任务中的膝关节肌肉活动:一项综述研究

Journal of Research in Orthopedic Science Pub Date : 2021-05-01 DOI: 10.32598/jrosj.8.2.755.1

Maedeh Taghizadeh Kerman, A. Yalfani, A. E. Atri, S. H. Mousavi

{"title":"Knee Muscle Activity During Jump Landing Tasks Following Anterior Cruciate Ligament Reconstruction: A Review Study","authors":"Maedeh Taghizadeh Kerman, A. Yalfani, A. E. Atri, S. H. Mousavi","doi":"10.32598/jrosj.8.2.755.1","DOIUrl":"https://doi.org/10.32598/jrosj.8.2.755.1","url":null,"abstract":"Background: Changes in knee muscle activity remain years after Anterior Cruciate Ligament (ACL) surgery. However, the literature on the successful or unsuccessful recovery of lower limb muscle activation during jump landing is controversial. Objectives: The present review intended to compare the surface Electromyography (EMG) of knee muscle activity in healthy and Anterior Cruciate Ligament Reconstruction (ACLR) groups in jump landing tasks. Methods: PubMed, Embase, and Web of Science databases were searched papers from 1990 to 2020 using the keywords “anterior cruciate ligament or ACL, EMG or Electromyography or Muscle activation, Landing or Jumping or Hopping”. After screening the titles, abstracts, and full text of the collected articles, 7 studies met the inclusion criteria of this review. The Critical Appraisal Skills Program tool was used for the quality assessment of the included papers. Results: The present research results suggested earlier onset muscle activity for quadriceps and hamstring in ACLR subjects, compared to healthy subjects. Furthermore, the ratio of activation of quadriceps/hamstring in the ACLR group was higher than that in the healthy individuals considering the type of rehabilitation, the time elapsed from surgery, and gender. The methodological quality of the observational studies ranged from 6 to 8 out of 12 that reflects the overall quality of the methodology. Conclusion: According to this review, we can conclude that the ACLR group exhibited different neuromuscular strategies in the pre-landing phase that might increase the recurrent risk of ACL injury.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"42 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125554657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Misdiagnosis of Post-traumatic Osteomyelitis: A Case Report 创伤后骨髓炎误诊1例

Journal of Research in Orthopedic Science Pub Date : 2021-05-01 DOI: 10.32598/jrosj.8.2.751.1

S. Ghaffari, Mehran Razavipour, Iman Sadeghian, S. Talebi

引用次数: 0

Radial Neck Fracture With 180° Rotational Displacement in Pediatrics: A Case Report of a 6-Year-Old Child 儿科桡骨颈骨折伴180°旋转移位1例6岁儿童

Journal of Research in Orthopedic Science Pub Date : 2020-05-01 DOI: 10.32598/JROSJ.7.2.519.1

A. Tabrizi, A. Afshar, H. Taleb

{"title":"Radial Neck Fracture With 180° Rotational Displacement in Pediatrics: A Case Report of a 6-Year-Old Child","authors":"A. Tabrizi, A. Afshar, H. Taleb","doi":"10.32598/JROSJ.7.2.519.1","DOIUrl":"https://doi.org/10.32598/JROSJ.7.2.519.1","url":null,"abstract":"Introduction: Radial neck fracture is one of the rare traumas in the upper extremity among the children accounting for 5%-10% of the pediatric elbow injuries. The valgus strain-induced radial neck displacement often ranges from 10° to 90. Rotational displacement with 180° rotation is very rare. Case Presentation: In this case report, we present a 6-year-old child who had radial neck fracture with 180 rotation and joint surface tilt toward the distal direction after falling on her outstretched hand. The close reduction was conducted under the fluoroscopic guide and the radial neck-shaft was restored with 15 angulation. The elbow was immobilized by a long forearm cast for 3 weeks. Based on conventional radiography taken after 3 weeks, a complete union was achieved. Six-month follow-up showed no radial growth disturbance and radial head avascular necrosis. Conclusions: The radial head could be displaced in the form of 180° rotation during the radial neck fracture. In this regard, careful attention to the joint surface is important to minimize the lateral displacements or angulation and to avoid any misdiagnosis. The closed reduction was a successful treatment and caused no complications.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133048611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Different Traumatic Spinal Column Fractures and Traumatic Spinal Cord Injury: An Epidemiologic Study 不同外伤性脊柱骨折和外伤性脊髓损伤的流行病学研究

Journal of Research in Orthopedic Science Pub Date : 2020-05-01 DOI: 10.32598/JROSJ.7.2.628.1

A. Andalib, H. Akbari Aghdam, Emran Ahmadi

{"title":"Different Traumatic Spinal Column Fractures and Traumatic Spinal Cord Injury: An Epidemiologic Study","authors":"A. Andalib, H. Akbari Aghdam, Emran Ahmadi","doi":"10.32598/JROSJ.7.2.628.1","DOIUrl":"https://doi.org/10.32598/JROSJ.7.2.628.1","url":null,"abstract":"Background: Trauma and traumatic injuries are the most common causes of disabilities among the young population in developing countries. Besides morbidity and mortality, traumatic injuries can significantly decrease the quality of life and life expectancy of the victims. Objectives: Traumatic Spinal Cord Injury (TSCI) is an acute, traumatic lesion of the spinal cord. It usually produces economic problems that can emotionally and psychologically affect the patients. This study aims to evaluate spinal column fractures and TSCI in Iran. Methods: In this study, we evaluated all of the cases diagnosed with TSCIs between 2012 and 2018. A total of 1014 patients were included in our study. Prevalence of spinal column fractures was evaluated and the percentage of each type of fractures was extracted. The need for surgery and the percentage of TSCI were also evaluated. Results: The most common cause of trauma was vehicle and road accidents (83.4%) followed by falling (12.7%). A total of 21 patients (2.1%) died due to injuries. The incidence of TSCI among patients with traumatic spinal column fractures were 62 cases (6.1%). Also, 67.7% of patients with TSCI underwent surgery. Furthermore, we found that the lumbar area received the highest incidence of TSCI (38.3% of all TSCIs) followed by thoracic spine fractures (27.4% of all TSCIs). Also thoracic and cervical spine fractures were mostly associated with mortality compared with other sites of spine fractures (47.6% and 38.1% of all mortalities, respectively). Conclusion: In our study, most cases (83.4%) were injured by road accidents which indicates the low safety of vehicles and roads in Iran. Epidemiological features of spinal column injuries and TSCI vary among different societies due to different causes. So far, this study is the first one to evaluate different spine fractures and TSCI and other associated factors in the Iranian population.The results indicate a high incidence of thoracic and lumbar fractures and a higher mortality rate in thoracic and cervical fractures.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129498431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Translated Article: Resection of a Rare Proximal Radius Malignant Chondrosarcoma (Grade III) Bone Tumor and Reconstruction of the Forearm Functionality: A Case Report 切除一罕见的桡骨近端恶性软骨肉瘤(III级)骨肿瘤并重建前臂功能:1例报告

Journal of Research in Orthopedic Science Pub Date : 2020-05-01 DOI: 10.32598/JROSJ.7.2.674.1

S. Jami, Jiandang Shi

{"title":"Translated Article: Resection of a Rare Proximal Radius Malignant Chondrosarcoma (Grade III) Bone Tumor and Reconstruction of the Forearm Functionality: A Case Report","authors":"S. Jami, Jiandang Shi","doi":"10.32598/JROSJ.7.2.674.1","DOIUrl":"https://doi.org/10.32598/JROSJ.7.2.674.1","url":null,"abstract":"Background: Chondrosarcoma is one of the common malignant bone tumors and is characterized by thin tumors. The cells produce tumor cartilage. It occur usually 3rd decade of life, affected more men than women. Objectives: To perform alternate surgical procedures for remove tumor and obtain fully forearm functionality by reconstruction. Methods: A patient affected by a rare proximal radius chondrosarcoma bone tumor and it became malignant (grade III). Resection the tumor along with chemotherapy and radiotherapy was done. Surgical treatments are mainly recommended for most types of chondrosarcoma treatment. However, the treatment of chondrosarcoma clinically and surgically is controversial due to different techniques. Results: Patients was fully recovered with excellent wrist and elbow joint functionality. Reconstruction of bones were fused by the support of metallic implants. There was no tumor recurrence occur during post-operative follow-up period. Conclusion: Chondrosarcoma of bone generally has an excellent prognosis when optimal diagnosed and treated by an experienced team of specialists. Its clinical treatment is always challenging due to of the rarity of these lesions and few institutions having enough patients to study about it.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132314306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1